Thứ Hai, 28 tháng 9, 2020

[Question - Insurance] Is it legal for an insurance company(namely BCBSIL) to approve coverage for a medication Jan-Aug and then abruptly cease coverage in Sept under the ACA?

Added info: I’ve been told by an insurance broker that they are “not allowed” to do this, because they choose Theo “formulary list” Jan 1. But I’m wondering if it’s legal. I’m not looking to sue—I realize I wouldn’t win that battle anyways. However, this drug is essential to my daily functioning, so I would appreciate if it didn’t happen again. If there is some legal ground I could stand on, I feel that may help my case in saying, “please cover my needed meds.” (Of course I would seek proper legal counsel should I find that something here was not appropriate) Thank you!



https://ift.tt/eA8V8J Submitted September 28, 2020 at 08:44PM by BenjyBoo2 https://ift.tt/30bbqqA

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